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A 40-year-old male with no significant past medical history wants to donate his kidney to his father who was diagnosed with end-stage renal disease six months ago. The father is 61 years old and wishes to avoid dialysis. During the preoperative evaluation of the son, the son was found to have a 1.8 cm renal mass.*1

More than 90,000 individuals are waiting for a renal transplant in the United States as of June 22, 2012.1 Despite the lower long-term mortality risk of transplantation compared to dialysis2, there is a discrepancy between the number of individuals awaiting transplantation and the availability of organs. To address the shortage of organs available for transplant, various approaches to the shortage of organs are being utilized, including the transplant of organs with a mass. However, the concerns of tumor recurrence and the respect for patient autonomy and autonomous choice are reasons given by some clinicians expressing reluctance to advocate for the transplant of organs with a mass.